Messages that increase women’s intentions to abstain from alcohol during pregnancy: results from quantitative testing of advertising concepts

France, Kathryn E; Donovan, Robert J.; Bower, Carol; Elliott, Elizabeth J; Payne, Jan; D’Antoine, Heather; Bartu, Anne

doi:10.1186/1471-2458-14-30

Cited by 29 publications

(34 citation statements)

References 23 publications

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“…These findings suggest that although primary prevention interventions may be effective, they should be coupled with targeted support and prevention strategies in high‐risk populations and for individuals with alcohol dependency. At the population level, mass media campaigns about the harms of alcohol use in pregnancy have been shown to be effective [36]. For high‐risk populations, community‐led alcohol restrictions and culturally appropriate education about healthy pregnancy, including avoiding alcohol, are most effective if implemented together and with a focus on the family and community, as well as the individual [37].…”

Section: Discussionmentioning

confidence: 99%

Prevalence and patterns of alcohol use in pregnancy in remote Western Australian communities: The LililwanProject

Fitzpatrick

Latimer

Ferreira

et al. 2015

Drug and Alcohol Review

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Section: Discussionmentioning

confidence: 99%

Prevalence and patterns of alcohol use in pregnancy in remote Western Australian communities: The LililwanProject

Fitzpatrick

Latimer

Ferreira

et al. 2015

Drug and Alcohol Review

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“…This differs from the previous guidelines which recommended consumption of less than 7 standard drinks per week, and no more than 2 standard drinks on any one day [ 12 ]. Recommendations alone are unlikely to be sufficient to facilitate changes in drinking patterns among pregnant women, and a range of interventions [ 13 – 15 ], and practice guidelines for health professionals [ 16 , 17 ] have been developed to promote awareness of the current guidelines and support abstinence from alcohol use during pregnancy.…”

Section: Introductionmentioning

confidence: 99%

Development of a scale to evaluate midwives’ beliefs about assessing alcohol use during pregnancy

Watkins

Payne

Reibel

et al. 2015

BMC Pregnancy Childbirth

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BackgroundPrenatal alcohol exposure is an important modifiable cause of adverse fetal outcomes during and following pregnancy. Midwives are key providers of antenatal care, and it is important to understand the factors which influence their ability to provide appropriate advice and support to women about alcohol use in pregnancy. The main aim of this study was to develop a psychometrically valid scale to evaluate midwives’ beliefs about assessing alcohol use during pregnancy.MethodA self-administered questionnaire was developed to evaluate midwives’ beliefs about assessing alcohol use during pregnancy, including beliefs about positive and negative consequences of asking about alcohol use, and beliefs about capacity to assess alcohol use. The questionnaire was sent to 245 midwives working for a state-wide country health service in Western Australia. Exploratory factor analysis was used to identify the latent constructs assessed by the 36 belief items and provide initial construct validation of the Asking About Alcohol (AAA) Scale.ResultsOf the 166 (67.8 %) midwives who responded to the survey, 160 (96.4 %) completed one or more of the belief items and were included in this analysis. Factor analysis identified six subscales which assessed beliefs about discomfort, capacity, effectiveness, role, trust and knowledge. Midwives held the most positive beliefs about their capacity to ask and the effectiveness of asking about alcohol use, and the least positive beliefs about women’s knowledge about alcohol use and discomfort associated with asking about alcohol use in pregnancy. Midwives’ beliefs about their role and the effectiveness of asking were most strongly associated with the intention to ask all pregnant women about alcohol use during pregnancy (r = −0.59, p < 0.001 and r = −0.52, p < 0.001).ConclusionsOur analysis has identified key constructs underlying midwives’ beliefs about the assessment of alcohol use during pregnancy. The AAA Scale provides a basis for improved clarity and consistency in the conceptualisation and measurement of midwives’ beliefs which can be used to enhance our understanding of factors influencing midwives’ ability to deliver interventions to prevent alcohol use during pregnancy. The constructs identified in this exploratory analysis require confirmatory analysis to support their validity and generalizability.Electronic supplementary materialThe online version of this article (doi:10.1186/s12884-015-0779-6) contains supplementary material, which is available to authorized users.

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“…In light of this, we may need to reframe discussions around harm prevention or whether there is a potentially ‘safe’ threshold, to messages about the importance of alcohol abstinence in optimising health and cognitive outcomes for the unborn child. At the population level, FASD-specific mass media campaigns, based on proven behaviour change principles and with messages which combine threat (addressing perceived susceptibility and severity) and self-efficacy (promoting confidence in ability to abstain) have been shown to be effective in the past [27, 28].…”

Section: Discussionmentioning

confidence: 99%

Pregnant women’s understanding and conceptualisations of the harms from drinking alcohol: a qualitative study

Gibson

Nagle

Paul

et al. 2019

Preprint

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20Background: Despite women's awareness that drinking alcohol in pregnancy can lead to lifelong 21 disabilities in a child, it appears that an awareness alone does not discourage some pregnant women 22 from drinking. 23Objectives: To explore influences on pregnant women's decision making around alcohol use in a 24 population with frequent and heavy peer drinking (i.e. in two Indigenous Australian communities) 25 and another of non-Indigenous pregnant women attending antenatal care in a range of 26 socioeconomic settings. 27Methods: Individual and group discussions were held with both Indigenous Australian and non-28 Indigenous pregnant women attending a variety of antenatal care models, including two Indigenous 29 maternity services in Australia. Data were analysed using inductive content analysis. 30 Results: A total of 14 Indigenous Australian and 14 non-Indigenous pregnant women participated 31 in this study. Analysis identified five main influences on pregnant women's alcohol use: the level 32 and detail of women's understanding of harm; women's information sources on alcohol use in 33 pregnancy; how this information influenced their choices; how women conceptualised their 34 pregnancy; and whether the social and cultural environment supported abstinence. 35 Conclusions for practice: This study provides insight into how Indigenous Australian and non-36 Indigenous pregnant women understand and conceptualise the harms from drinking alcohol, 37 including how their social and cultural environments impact their ability to abstain. Strategies for 38 behaviour change need to: correct misinformation about supposed 'safe' timing, quantity and types 39 of alcohol; develop a more accurate perception of Fetal Alcohol Spectrum Disorder; reframe 40 messages about harm to messages about optimising the child's health and cognitive outcomes; and 41 develop a holistic approach encompassing women's social and cultural context.42 Page 3 43 Introduction 44 Current research suggests that alcohol use in pregnancy continues to be prevalent despite antenatal 45 guidelines advising against drinking. The 2009 Australian National Guidelines to Reduce Health 46Risks from Drinking Alcohol recommend that it is safest for women to abstain from drinking 47 alcohol completely throughout the duration of their pregnancy [1]. However, data from two large 48 national surveys of Australian women aged 18 to 45 years found that 34 to 49% of women 49 consumed alcohol in pregnancy [2, 3], and that despite women's awareness that drinking alcohol in 50 pregnancy can lead to lifelong disabilities in a child, nearly one third intended to drink alcohol in a 51 future pregnancy [2]. Whilst knowledge of the potential harms of alcohol consumption during 52 pregnancy is important, it is apparent that an awareness alone does not discourage some women 53 from drinking when pregnant. The relatively high prevalence of alcohol consumption during 54 pregnancy has also been reported in other high-income countries. An international cross-cohort 55 comparison of the...

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Messages that increase women’s intentions to abstain from alcohol during pregnancy: results from quantitative testing of advertising concepts

Cited by 29 publications

References 23 publications

Prevalence and patterns of alcohol use in pregnancy in remote Western Australian communities: The LililwanProject

Prevalence and patterns of alcohol use in pregnancy in remote Western Australian communities: The LililwanProject

Development of a scale to evaluate midwives’ beliefs about assessing alcohol use during pregnancy

Pregnant women’s understanding and conceptualisations of the harms from drinking alcohol: a qualitative study

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